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A Study to Investigate PK, Safety, Tolerability of Cefepime-enmetazobactam in Pediatric Participants With cUTI

RecruitingPhase 2Ages any - 18 YearsAllOrchid Pharma Europe GmbH
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In plain words

What the trial is, and whether it could suit you

This phase 2 study is part of regulatory commitments in the United States (PSP) and Europe (PIP) to evaluate cefepime-enmetazobactam in paediatric participants with cUTI to support extension of the indication for cefepime-enmetazobactam to children with cUTI.

Sign in to get the eligibility rules as simple questions to take to your doctor.

📋 Eligibility rules (as published)
Inclusion Criteria: * Participant must be from birth to \<18 years of age. Participants up to 2 months must have been born at term or preterm with a gestational age ≥32 weeks. * Written informed consent from parent(s) or other legally acceptable representative(s), and informed assent from participant (if age appropriate according to local regulations). * If female and has reached menarche, or has reached Tanner stage 3 development, (even if not having reached menarche) the participant is authorized to participate in this clinical study if the following criteria are met: 1. Participant has a negative urine and/or serum human chorionic gonadotropin test at screening visit. As serum tests may miss an early pregnancy, relevant menstrual history, and sexual history, including methods of contraception, should be considered 2. Participant agrees to avoid conception from the time of screening until 7 days after receipt of study intervention and agrees not to attempt pregnancy from the time of screening until 7 days after EOT with study intervention, and participant agrees to follow guidelines received regarding continuation of abstinence, initiation of abstinence or about allowed contraception, and 3. Participant reports sexual abstinence for the prior 3 months or reported the use of at least 1 of the acceptable methods of contraception, including an intrauterine device (with copper banded coil), levonorgestrel intrauterine system or regular medroxyprogesterone injections, or participant agrees to initiate sexual abstinence from the time of screening until 7 days after end of treatment (EOT) with study intervention. * Participant has a clinically suspected and/or bacteriologically documented complicated urinary tract infection (cUTI) or acute pyelonephritis judged by the investigator to require the participant to be hospitalized for treatment with intravenous (i.v.) therapy. * The causative pathogen is confirmed or suspected to be susceptible to cefepime-enmetazobactam. * Participant has pyuria, defined as dipstick analysis positive for leukocyte esterase OR: 1. If ≥1 year of age: White blood cell (WBC) count \>10 cells/µL in unspun urine or ≥10 cells/high power field in spun urine. 2. If \<1 year of age: WBC count \>5 cells/µL in unspun urine or ≥5 cells/high power field in spun urine. * Participant demonstrates clinical signs and/or symptoms of either acute pyelonephritis or cUTI at the Screening Visit, as defined by the following criteria: a. For pyelonephritis, participants must have at least 2 of the following new or worsening signs and/or symptoms: i. If 0 to \<2 years of age: * Fever (as defined by the investigator) * Failure to thrive * Recent weight loss * Irritability * Poor feeding * Lack of normal level of activity * Abdominal tenderness on physical examination * Vomiting ii. If 2 to \<18 years of age: * Fever (as defined by the investigator) * Dysuria * Urinary urgency * Urinary frequency * New-onset urinary incontinence * Suprapubic pain, flank pain, or abdominal pain * Suprapubic tenderness or CVA tenderness on physical examination * Nausea or vomiting OR b. For cUTI, participants must have at least 2 of the new or worsening signs and/or symptoms listed above AND must have at least 1 of the following complicating factors: * Obstructive uropathy * Congenital, functional, or anatomic abnormality of the urogenital tract * Temporary indwelling urinary catheter * Bladder instrumentation within \<24 hours * Recurrent UTI (≥2 events within a 12-month period) * Have a baseline urine culture specimen obtained within 48 hrs prior to the first dose of the study intervention. (Participants may be enrolled in this study and start i.v. study intervention therapy before the Investigator knows the results of the baseline urine culture in the event the causative pathogen is suspected to be susceptible to cefepime-enmetazobactam). Specimen is to be obtained by suprapubic aspiration, clean intermittent urethral catheterization, indwelling urethral catheter, or mid- stream clean catch. * Likely to survive the current illness or hospitalization. * Sufficient intravascular access (peripheral or central) to receive study intervention Exclusion Criteria: * History of serious allergy, hypersensitivity (e.g., anaphylaxis), or any serious reaction to cefepime, any cephalosporin, penicillins, β-lactamase inhibitors (e.g., tazobactam, sulbactam, or clavulanic acid), or other β-lactam agents. * Previous enrolment in this study, or in another interventional study ≤30 days before i.v. administration of study intervention. * Concurrent infection requiring systemic antibiotics in addition to the i.v. study intervention therapy at the time of first study intervention administration. * Receipt of systemic antibiotics within 24 hours before obtaining the study qualifying pre-treatment baseline urine sample and before study intervention therapy. Exceptions are: * Receipt up to 24 hours of short-acting antibacterial agent with a daily dose not completed. (Refer protocol ► Section 10.5, Appendix 5 for the list of allowed and disallowed antibiotics). * Patients who received prior antimicrobial therapy for the current cUTI/AP, and 1) in the Investigator's opinion, failed that prior antibiotic therapy (i.e., presented with worsening signs and symptoms), AND 2) were documented that the pathogen is non-susceptible to the prior antibiotic therapy. * Patients who have received antimicrobial prophylaxis for recurrent cUTI and then presented signs and symptoms consistent with an active new cUTI or AP. * A permanent indwelling bladder catheter or instrumentation including nephrostomy or current urinary catheter or anticipation of urinary catheter placement that would not be removed during the course of i.v. study intervention therapy administration. * Participant has suspected or known complete obstruction of any portion of the urinary tract, perinephric absc
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What it tests

  • cefepime and enmetazobactam combination
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Where

8 sites
Fakultní nemocnice Hradec Králové -Ústav klinické biochemie a diagnostiky
Hradec Králové, Czechia
Oblastni nemocnice Kolin, a.s., nemocnice Stredoceskeho kraje - Detske oddeleni
Kolín, Czechia
Hopital des Enfants
Toulouse, France
Debreceni Egyetem Klinikai Központ Gyermekgyógyászati Klinika
Debrecen, Hungary
Kanizsai Dorottya Hospital
Nagykanizsa, Hungary
SZPZOZ im. Dzieci Warszawy w Dziekanowie Leśnym
Łomianki, Poland
Národný ústav detských chorôb (NÚDCH)
Bratislava, Slovakia
Hospital Universitario La Paz
Madrid, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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